Individual
IRIS SUNWOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, PMHNP
Contact information
Practice address
12360 E BURNSIDE ST, PORTLAND, OR 97233-1042
(971) 279-4800
(971) 279-2051
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201243237RN
OR
163W00000X
Registered Nurse
RN61337493
WA
363L00000X
Nurse Practitioner
AP61337497
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201405678NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075287
—
WA
05
—
500683308
—
OR
Enumeration date
10/14/2014
Last updated
09/10/2025
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